Bone-Joint Deformity Correction in Children

Bone-joint deformities can have a number of causes and in more severe cases, lead to a number of life-long issues. We offer a wide range of individualized treatment options in a caring and family-centered environment.
 
Bone-joint deformities can be congenital, developmental or caused by an infection or trauma. These deformities can lead to crooked bones or joints which can cause gait disturbance, mechanical axis deviation and premature arthritis as well as cosmetic and social issues.
 

How are bone-joint deformities treated?

In order to treat bone or joint deformity, your child’s orthopaedic specialist will review the symptoms and history of the deformity and use models to measure its severity. If the deformity needs to be corrected, we will identify the apex or apices of the deformed bone and cut the bone at the apex to straighten it. Based on your child’s condition, we may recommend one of the following ways to correct the issue: 
 
Growth guided surgery – This technique allows for a gradual correction and rapid return to activities. A small plate and screws are placed close to the growth plate to modulate growth and correct the bone deformity slowly while your child grows. 
 
Osteotomy and acute correction – The deformed bone is cut and held in a corrected position with plates and screws or a rod. 
 
Osteotomy and gradual correction – This procedure involves computer generated modules to guide treatment. The deformed bone is cut and the ends of the bone are gradually moved apart to the corrected position and held by a device called an external fixator. 

Joint Contracture- Knee or ankle contracture is corrected using a device called an external fixator and hinge at the center of the rotation of the joint. The contracture is gradually corrected and held in place with a brace after fixator removal.

Distraction - Joint distraction is performed to take pressure off the joint in Pethes disease or avascular necrosis of femoral head.